Serious illness in North Carolina will receive the attention of health care providers, policy makers and all relevant agencies and organizations in order to create a system and culture of care that prioritizes quality of living for people with serious illness, their families, and their communities. The North Carolina Institute of Medicine (NCIOM), in partnership with agencies and organizations that provide care and advocacy around issues of aging, palliative care, hospice care, and long-term supports and services, convened a Task Force on Serious Illness Care in 2019. The Task Force consisted of over 60 expert members, including health care providers, community members, advocacy representatives, and family caregivers. The Task Force on Serious Illness Care has developed a workable plan to improve quality of life for individuals who live with serious illness, as well as their caregivers. The final report of the Task Force will be issued this spring. The North Carolina Serious Illness Coalition is the evolution of the work done by the NCIOM Task Force on Serious Illness Care. Our work is a continuation of statewide partnerships to advance the recommendations made in the Task Force’s final report.